The Effects of a Hypocaloric Diet Enriched in Oleic Acid Using Almonds Versus Complex Carbohydrates on Metabolic and Anthropometric Parameters During Weight Reduction

<p>The purposes of this study were to determine the effect of almonds rich in oleic acid as an alternative to complex carbohydrates on metabolic and anthropometric parameters during weight reduction and to evaluate self-reported satiety and satisfaction. A convenience sample of 57 adults was recruited from the Diabetes and Cardiovascular Risk Reduction Program at City of Hope National Medical Center. Subjects were randomized to an almond-enriched hypocaloric diet or to a complex carbohydrate-enriched hypocaloric diet for twenty-four weeks. Mixed model analysis showed that the use of almonds more favorably influenced weight loss (p< 0.0001), body mass index (p = 0.0001), waist circumference (p = 0.0255) and fat mass (p = 0.0205) compared to complex carbohydrates. Additionally, blood ketone levels were statistically significantly higher in the almond group (p = 0.0230) than in the complex carbohydrate group. No significant difference was found in the total cholesterol:HDL ratio between the groups, however both groups had statistically improved ratios over time with resulting decreases in cardiovascular risk. The glucose (p = 0.0006), insulin (p< 0.0001), insulin:glucose ratio (p = 0.0008), HgbAlc (p</p>

Name thesis:degree_name

Doctor of Public Health (DrPH)

Level thesis:degree_level

Dissertation

Discipline thesis:degree_discipline

Nutrition

Year

2002

Author dc:creator

• Wien, Michelle Ann

Contributors dc:contributor

• Joan Sabaté
• Zaida R. Cordero-Maclntyre
• Fouad Kandeel

• Dietetics and Clinical Nutrition
• Obesity -- diet therapy; Diet, Reducing; Fatty Acids -- metabolism; Energy Intake; Cholesterol, Dietary; Weight Loss.

Statement dc:rights

• This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.

Language dc:language

English

Repository record dc:identifier

https://scholarsrepository.llu.edu/etd/978

OAI identifier oai:identifier

oai:scholarsrepository.llu.edu:etd-2066